06D1043012 CLIA NUMBER - SAFEWAY PHARMACY #1877

Laboratory Demographics

  • CLIA Code: 06D1043012
  • Facility Name: SAFEWAY PHARMACY #1877
  • Facility Address: 880 S PERRY ST
    CASTLE ROCK, CO
    ZIP 80104
  • Facility Phone: 303 688-6060
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: CAMERON OLINGER
  • NPI Number: 1982640595
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 06D1043012
LAB Type Pharmacy
Facility Name SAFEWAY PHARMACY #1877
Street 880 S PERRY ST
City CASTLE ROCK
State CO
ZIP 80104
Phone 303 688-6060
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 11/10/2023
Certificate Expiration Date 11/9/2025
Facility Type Pharmacy
Lab Director CAMERON OLINGER

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This page was last updated on: 9/29/2025